Pulsation, Systolic Thrill and Murmur in Femoral Veins Secondary to Severe Tricuspid Regurgitation

Hung, Ming-Yow
Hung, Ming-Jui
Kuo, Li-Tang
Wang, Chao-Hung
Cherng, Wen-Jin

Section of Cardiology, Department of Medicine, Chang Gung Memorial Hospital, Keelung, Taiwan

Ming-Jui Hung, MD

Section of Cardiology, Department of Medicine, Chang Gung Memorial Hospital

222 Mai-Chin Road, Keelung 204 (Taiwan)

Tel. +886 2 24313131 (ext. 2628), Fax +886 2 24335342

E-Mail [email protected]

Received: January 16, 2001

Accepted: February 25, 2001

Cardiology 95(3):p 164-166, 2001. | DOI: 10.1159/000047365

Abstract

We report on a case of pulsatile femoral veins with a systolic thrill and murmur in a 26-year-old patient who exhibited severe tricuspid regurgitation. The pulsatile nature of the veins may result from the ‘ventricularization’ of venous pressure with each pressure pulse. The observed systolic thrill and murmur may be due to the systolic reversal of substantial regurgitant flow in the venous system of the lower limbs. This case also demonstrates that severe tricuspid regurgitation can have far-reaching manifestations.